Ahmad R. Sprouse

NPI #1679971501 in Chesterton, Indiana

Provider Information

NPI Number: 1679971501
Entity Type: Organization
Organization Name: Ahmad R. Sprouse
Primary Specialty: Chiropractor
Enumeration Date: Dec 9, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 1496 POPE CT STE 3
City: Chesterton
State: Indiana
ZIP Code: 46304-5303
Phone: (219) 926-8522

Authorized Official

Name: DR. AHMAD RA'SHAD SPROUSE, D.C.
Title: INDEPENDENT CONTRACTOR
Phone: (219) 576-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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